Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $5,495.41 / $8,709.64	Facility		$933.25	$5,495.41	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $891.25 / $4,570.88	Professional		$380.19	$891.25	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,148.15 / $5,888.44	Professional		$501.19	$1,148.15	$5,888.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $2,398.83 / $6,025.60	Professional		$707.95	$2,398.83	$6,025.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $5,011.87	Facility		$457.09	$954.99	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,000.00 / $5,495.41	Professional		$645.65	$1,000.00	$5,495.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,630.78 / $4,570.88	Facility		$758.58	$3,630.78	$4,570.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $851.14 / $4,466.84	Facility		$457.09	$851.14	$4,466.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,023.29 / $5,495.41	Professional		$79.43	$1,023.29	$5,495.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $22,387.21 / $27,542.29	Facility		$17,378.01	$22,387.21	$27,542.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,412.54 / $5,623.41	Professional		$758.58	$1,412.54	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $27,542.29	Facility		$3,019.95	$20,892.96	$27,542.29
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,548.82 / $4,570.88	Professional		$602.56	$1,548.82	$4,570.88